Multimodality imaging of greater trochanter lesions.
femur
greater trochanter
imaging
neoplasms
tumours
Journal
Polish journal of radiology
ISSN: 1733-134X
Titre abrégé: Pol J Radiol
Pays: Poland
ID NLM: 101175532
Informations de publication
Date de publication:
2021
2021
Historique:
received:
27
10
2020
accepted:
07
12
2020
entrez:
25
8
2021
pubmed:
26
8
2021
medline:
26
8
2021
Statut:
epublish
Résumé
Greater trochanter (GT) lesions are relatively uncommon. They can be traumatic, infective including tuber-culosis, inflammatory, and neoplastic (primary and metastatic osseous lesions). Although imaging of greater trochanter lesions remains essential for differential diagnoses, an image-guided biopsy is a mainstay for diagnosis and to guide subsequent management. A retrospective search for the word 'greater trochanter' was performed of a computerised radiology information system (CRIS) of a tertiary referral centre for orthopaedic oncology over a period of 12 years (2007-2019). This revealed 6019 reports with 101 neoplasms. The imaging, histology, and demography were reviewed by a dedicated musculoskeletal radiologist. We identified 101 GT neoplasms with a mean age of 51.5 years (range 6 to 85 years) and a slight female predominance of 1.2 : 1 (46 males and 55 females). Using 30 years of age as a cut-off, we further segregated the patient cohort into 2 groups: 26 (25.74%) lesions in patients less than 30 years age and the remaining 75 (74.26%) lesions in patients over 30 years old. Chondroblastoma was the most common neoplasm in patients below 30 years of age, and metastases were the most common neoplasms in patients over 30 years of age. Greater trochanter pathologies show a broad spectrum of aetiologies. Imaging including radiographs, computed tomography, magnetic resonance imaging, and nuclear medicine scans help to narrow down the differen-tials diagnosis.
Identifiants
pubmed: 34429787
doi: 10.5114/pjr.2021.107814
pii: 44715
pmc: PMC8369823
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e401-e414Informations de copyright
© Pol J Radiol 2021.
Déclaration de conflit d'intérêts
The authors report no conflict of interest.
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